Simple Survey

This project received 26 bids from talented freelancers with an average bid price of $154 USD.

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Project Budget
$30 - $250 USD
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Project Description


I would like to have this simple survey recreated. The only thing I would like to change are the colours and some of the writing.

Here is the template I would like to have recreated...

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Is it possible to host this on my existing blog?


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